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05-2330 (SFD)F. P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: Property Address: .APN: Application description: Property Zoning: Application valuation: 05=00002330 43098 PARKWAY ESPLANADE E 609-380-999-90 -293234- DWELLING - SINGLE FAMILY LOW DENSITY RESIDENTIAL 152664 Architect or Ti&t 4 4v Q" BUILDING & SAFETY DEPARTMENT BUILDING PERMIT DETACHED -------------------------------------------------- LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) oi Division 3 of the Bujirlws and Professionals Code, and my License is in full force and effect. Licegft lass: I Mcense No.: B /Date` p ontraaor. / OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractor's State License Law for the following reason !Sec. 7031 .5, Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for the permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).: 1 _ 1 1, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon; and who does the work himself or herself through his or her own employees, provided that the improvements are novintended or offered for sale. If, however, the building or improvement is sold within one year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for the purpose of sale.). 1 _ 1 I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). (_) I am exempt under Sec. , B.&P.C. for this reason Date: Owner: CONSTRUCTION LENDING AGENCY I hereby affirm under penalty of perjury that there is construction lending agency for the performance of the work for which this permit is issued (Sec. 3097, Civ. C.). Lender's Name: Lender's Address: LQPER11tIT VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 6/13/05 Owner: LENNAR HOMES 78401 HIGHWAY LA QUINTA, CA LA QUINTA, CA OF CALIFORNIA 111, STE C 92.253 Contractor: LENNAR HOMES OF CALIFORNIA INC 78401 HIGHWAY 111, SUITE C LA QUINTA, CA 92253 WCC: AON RISK SRVC LiC. No.: B ----------------------------------------------- WORKER'S COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier MWC11114500 11/01/Of3olicy Number 728102 _ I certify that, in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, andree that, if I sho d become subject to the workers' compensation provisions of Section 370 oLiba-tabor Co all.forthwith c ply with those provisions. ate:. 'cant: WARNING: FAI URE TO SECUREWORK(S,)OMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000). IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. APPLICANT ACKNOWLEDGEMENT IMPORTANT Application is hereby made to the Director of Building and Safety for a permit subject to the conditions and restrictions set forth. on this application. ' 1 . Each person upon whose behalf this application is made, each person at whose request and for whose benefit work is performed under or pursuant to any permit issued as a result of this application, the owner, and the applicant, each agrees to, and shall defend, indemnifyandhold harmless the City of La Quinta, its officers, agents and employees for any act or omission related to the work being' performed under or following issuance of this permit. 2. Any permit issued as a result of this application becomes null and void if work is not commenced within 180 days from date of issuance of such permit, or cessation of work for 180 days will subject permit to cancellation. I certify that 1 have read this application and state that the above information is correct. I agree to comply with all city and county ordinances and state laws relating to b it in construction, and hereby authorize representatives of th's unty ente eabove-mentioned pro for inspection purpo es. A t€ ighature (Applicant or Agent): LQPERA TT Application Number . . . . . 05-00002330 Structure Information Construction Type . TYPE V - NON RATED .Occupancy Type . . . . DWELLG/LODGING/CONG <=10 Flood Zone . . . . . NON -AO FLOOD ZONE Other struct info . . . . . CODE EDITION 2001 CRC # BEDROOMS 5.00 FIRE SPRINKLERS NO GARAGE SQ FTG 425.00 PATIOSQ FTG 53.00 NUMBER OF UNITE 1.00 1ST FLOOR SQUARE FOOTAGE 2511.00 Permit . . . BUILDING PERMIT Additional desc . Permit Fee . . . . 825.00 Plan Check Fee 134.06 Issue Date . . . . Valuation 152664 Expiration Date 12/10/05 Qty Unit Charge Per Extension BASE FEE 639.50 53.00 3.5000 ---------------------------------------------------------------------------- THOU BLDG 100,001-500,000 185.50 Permit MECHANICAL Additional desc . Permit Fee . . . . 46.00 Plan Check Fee .2.88 Issue Date Valuation 0 Expiration Date 12/10/05 Qty Unit Charge Per Extension BASE FEE 15.00 1.00 9.0000 EA MECH FURNACE <=100K 9.00 1.00 9.0000 EA MECH B/C <=3HP/100K BTU 9.00 1.00 6.5000 EA MECH VENT FAN 6.50 1.00 6.5000 ---------------------------------------------------------------------------- EA MECH EXHAUST HOOD 6.50 Permit . . . ELEC-NEW RESIDENTIAL Additional desc Permit Fee . . . . 111.39 Plan Check Fee 6.96 Issue Date Valuation . . 0 Expiration Date 12/10/05 Qty Unit Charge Per Extension BASE FEE 15.00 2511.00 .0350 ELEC NEW RES - 1'OR 2 FAMILY 87.89 LQPEINIIT Application Number . . . . 05-00002330 Permit . . . . . . ELEC-NEW RESIDENTIAL Qty Unit Charge Per Extension 425.00 .0200 ---------------------------------------------------------------------------- ELEC GARAGE OR NON-RESIDENTIAL 8.50 Permit PLUMBING Additional desc . Permit Fee 170.25 Plan Check Fee 10.64 Issue Date Valuation . . . . 0 Expiration Date 12/10/.05 Qty Unit Charge Per Extension BASE FEE 15.00 17.00 6.0000 EA PLB FIXTURE 102.00 1.00 15.0000 EA PLB BUILDING SEWER 15.00 1.00 7.5000 EA PLB WATER HEATER/VENT 7.50 1.00 3.0000 EA PLB WATER 2NST/ALT/REP 3.00 1.00 9.0000 EA PLB LAWN SPRINKLER SYSTEM 9.00 5.00 .7500 EA PLB GAS PIPE >=5 3.75 1.00 15.0000 ------------------------------------------------------------------------------ EA PLB GAS METER .15.00 Permit . . GRADING PERMIT Additional desc . Permit Fee 15.00 Plan Check Fee .00 Issue Date . . Valuation 0 Expiration Date 12/10/05 Qty Unit Charge Per Extension BASE FEE 15.00 Special Notes and Comments SFD - LOT 90. PLAN 4YR, 2511 SF. PERMIT DOES NOT INCLUDE BLOCK WALL, POOL, SPA OR DRIVEWAY APPROACH. 75% PLAN CHECK FEE REDUCTION APPLIED FOR MULTIPLE ISSUANCE OF SAME PLAN TYPE. ------------------------------------------------ Other Fees . . . 7 ------------------------------ . . . . ART IN PUBLIC PLACES -RES .00. DIF COMMUNITY CENTERS -RES 97.00 DIF CIVIC CENTER - RES 366.00 ENERGY REVIEW FEE 13.41 . DIF FIRE PROTECTION -RES 97.00 GRADING PLAN CHECK FEE .00 DIF LIBRARIES - RES 225.00' DIF PARK MAINT FAC - RES 5.00 DIF PARKS/REC - RES 502.00 LQPEINIIT Application Number . . . . . 05-00002330 , --------------------------------------------------------------------- Other Fees . . . . . STRONG MOTION (SMI) - RES 15.26 DIF STREET MAINT FAC -RES 15.00 DIF TRANSPORTATION - RES '1098.00 Fee.summary Charged Paid Credited Due --------------------------------------------------------- Permit Fee Total 1167.64 .00. .00 1167.64 Plan Check Total 154.54- .00' .00 154.54 Other Fee Total 2433.67 .00 .00 2433:67 Grand Total 3755.85. .00 .00 3755.85